Hearing impaired persons tend to have an increased likelihood of substance abuse issues due to their impairment, and rehab services must be available to them which cater to their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their problem as a result of social stigmas attached to substance abuse. Nonetheless, drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions in order that rehab clients can know that they're not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailor-made for each person to ensure their own challenges can be handled in treatment.